Individual
BRENDA SHOCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3409 SUTTON PL, AUGUSTA, GA 30906-5208
(706) 832-1703
Mailing address
3409 SUTTON PL, AUGUSTA, GA 30906-5208
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN0444930
GA
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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